*Mandatory Fields

Donation Amount
I would like to make a/an*
donation of *
to support Professor Chen Char-nie Research and Education Fund of the Department of Psychiatry, Faculty of Medicine,
The Chinese University of Hong Kong (CUHK)

Donor Particulars *

Are you a graduate from CUHK? *

Donation Method*
Online Payment is encouraged 

Have your credit card (VISA/Master) ready and click to proceed to online payment.
By Crossed Cheque

Made payable to ‘The Chinese University of Hong Kong’
Cheque No.:*
Bank Name:*
Please send a crossed cheque to Department of Psychiatry, CUHK, G/F, Multicentre, Tai Po Hospital, 9 Chuen On Road, Tai Po, N.T., Hong Kong.
NOTE: Please write your full name/ organisation name and mobile number on the back of the cheque. Please indicate "Donation" on the envelop.

Donation Receipt*
Please send the tax-deductible donation receipt to my mailing address.

Name on receipt: (In English)*

Tax-deductible donation receipt is not required.

Tax-deductible receipt applicable in Hong Kong will be issued by CUHK for donors who have made a donation in the amount of HK$100 or above. For all donations from Canada, CUHK will issue Canadian dollar-denominated tax-deductible receipt applicable in Canada. The tax-deductible receipt will be sent to the given mailing address in six months.

Acceptance of donation is subject to the approval of the University Council of The Chinese University of Hong Kong. All unaccepted donation will be returned to respective donor.

Personal Information Collection Statement
The information you provide will be used for donation purpose only, and will be kept strictly confidential. Department may use such data for administrative and communication purposes, but will not disclose any personal information you provide to any external bodies or organizations unless you have been informed or it is required to do so by law. For the University's policy on personal data, please visit http://www.cuhk.edu.hk/policy/pdo/en/.

I do NOT wish to be contacted by the Department of Psychiatry, Faculty of Medicine, CUHK for direct marketing purposes relating to donation solicitation and/or promotion of Department activities.

Department of Psychiatry, Faculty of Medicine, CUHK
G/F Multicentre, Tai Po Hospital, 9 Chuen On Road, Tai Po, New Territories, Hong Kong
Tel: (852) 2607 6027 l Fax: (852) 2667 5464 l Email: psychiatry@cuhk.edu.hk l Website: http://www.psychiatry.cuhk.edu.hk